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B12 and folate deficiency
My serum value B12 226 pg/ml, past 1
year ago had 162 pg/ ml so doctor prescribed
3 re-nerve plus injection. My current MMA -
481, active b12- 32, Homocysteine >50, folate -
1.19, ferritin serum 32.3. I have
been facing floating sensation for past 2 years
reduction in libido, pins and needles pain in
palms and feet and some time severe pins and
needle pain in penis after ejaculation
Already visited many doctors almost all of them are telling that my blood report is normal but my symptoms are not getting improved come and goes not able to judge what
is happening. Do I have b12 folate deficiency ? Please help 🙏
Answers (20)
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Homocysteine >50 — this is very high (normal is under ~15). Homocysteine rises when either B12 or folate is insufficient, because both vitamins are needed to clear it. A level this high strongly suggests significant deficiency of one or both.
Folate 1.19 — this is low (normal usually >3-4 ng/mL), confirming folate deficiency is also part of the picture.
Ferritin 32.3 — low-normal, borderline low iron stores, which can independently contribute to fatigue/lightheadedness.
Next Steps
Active follow up and detailed consultation
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Do consult
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Answered lot of time. Already 20 views
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Not only this vitamin deficiency
May cause other vitamin also deficient
Kindly consult for more details
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Consult physician
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Kindly.consult... there are severe nutritional deficiency... need more detailed history
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Yes, functional B12 deficiency confirmed — high MMA/homocysteine + low active B12 despite "normal" serum B12 explain your nerve symptoms. Needs proper IM B12 loading (not oral), plus nerve conduction study if symptoms persist. Book a private consult to plan the injection protocol.
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You hav to consult an expert physician.. u can contact me for further treatment..
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B12 is 32 , its severe deficiency. You need to take injection again.
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Kindly consult with me on 94 two six 86 seven eight 96 for proper guidance and treatment.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
Will help u
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Check hba1c
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Do consult
Needs evaluation from specalist
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Dr. Pravallika
General Physician
4 yrs exp
Vijayawada
Please do consult in person
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